Individual provider Active NPI

Doris Quon, M.D.

  • Hematology (Internal Medicine) Physician
  • Los Angeles, CA
National Provider Identifier
1578589271
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
A65707 Issued in CA
Practice address
403 W Adams Blvd
Hemophilia Treatment Center
Los Angeles, CA 90007-2664
Phone
(213) 742-1000
Fax
(213) 742-1103
NPI assigned
Jul 14, 2006
Last updated
Oct 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X A65707 CA Primary

Addresses

Primary practice location

403 W Adams Blvd
Hemophilia Treatment Center
Los Angeles, CA 90007-2664

Mailing address

403 West Adams Blvd
Los Angeles, CA 90007-2664
Phone (213) 742-1000

Other identifiers 1

IdentifierTypeStateIssuer
00A65707MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061227000351 CA Practitioner - HematologyPractitioner - Internal MedicinePractitioner - Hematology/Oncology 4688674500 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HematologyAlso: Hematology/Oncology, Internal Medicine
Education
University of California, Geffen School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sant P Chawla M D IncGroup PAC ID 4880722487, 5 clinicians
Orthopaedic Hospital Medical Group IncGroup PAC ID 5799686283, 5 clinicians

Practice addresses (Care Compare)

2811 Wilshire Blvd
Santa Monica, CA 90403-4804
Phone (310) 552-9999

403 W Adams Blvd
Los Angeles, CA 90007-2664
Phone (213) 742-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65707CAMDHematology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sant P Chawla M D Inc CurrentSince Aug 1, 2014 Accepting new patients
Orthopaedic Hospital Medical Group Inc CurrentSince Mar 31, 2019 Accepting new patients
Orthopaedic Hospital Past Accepting new patients

Locations

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

403 W Adams Blvd
Fl Third
Los Angeles, CA 90007

2811 Wilshire Blvd
Ste 414
Santa Monica, CA 90403
Phone (310) 552-9999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dquon29805@direct.uclahealth.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1578589271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WEST ADAMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072664",
            "telephone_number": "213-742-1000",
            "fax_number": "213-742-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W ADAMS BLVD",
            "address_2": "HEMOPHILIA TREATMENT CENTER",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900072664",
            "telephone_number": "213-742-1000",
            "fax_number": "213-742-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUON",
        "first_name": "DORIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "A65707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A65707",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.